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Epinephrine – Warning Risk for Serious or Fatal Medication Errors

Please note this urgent message from the National Alert Network (NAN) for Serious Medication Errors. The National Council for Medication Error Reporting and Prevention (NCCMERP) is distributing a NAN alert to warn practitioners about the potential for serious or fatal errors with epinephrine, caused by the current shortage of epinephrine emergency syringes.

EPINEPHrine emergency syringes 1 mg/10 mL (0.1 mg/mL) are currently on backorder from the sole manufacturer of this product. Although the shortage is expected to resolve later this summer, practitioners should be aware of risk for error created by the shortage.

NCCMERP strongly advises practitioners to evaluate the risk for this error in their organizations and settings of care and implement the recommended safety procedures.